Individual
ANNIE U BORDALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
472 CHALAN SAN ANTONIO, PEMAR PLACE, TAMUNING, GU 96913-3605
(671) 647-1830
(671) 647-1919
Mailing address
472 CHALAN SAN ANTONIO, PEMAR PLACE, TAMUNING, GU 96913-3605
(671) 647-1830
(671) 647-1919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-1039
GU
Other
Enumeration date
04/17/2007
Last updated
02/27/2017
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